Professional Documents
Culture Documents
2017 Jan
2017 Jan
1
32. Hx of trauma Raised JVP, trachea shifted to right no breath sounds on left, what to do- chest drain to
anterior left side, chest drain to posterior right side, ETT.
33. Incision from deltopectoral groove medially, which structure will not be interfered- axillary ln,
brachial plexus, pec major, pec minor
34. Which structure is not posterior relation of kidney- iliacus, psoas, ql, tranversalis, diaphragm
35. Rectal bleeding, on colonscopy found bleeding from sigmoid colon, artery- superior rectal, left colic,
middle colic
36. Neonate, meconium stained front of diaper- patent urachus, patent vitellointestinal duct
37. Sausage shaped- intusucception
38. Boy, Cherry red mass protruding from anus, bleeding – hemorrhoid, juvenile polyp
39. Baby, Abd pain, bilious vomiting- volvulous or other options as above
40. Panproctocolectomy stoma-end ileostomy, end colostomy in LIF, loop ileostomy, loop colostomy
41. Hartmann’s procedure stoma- end ileostomy, end colostomy in LIF, loop ileostomy, loop colostomy
42. Bullet hit lateral to rectus abdominis at right subcostal region, which structure injured- gallbladder,
liver, spleen, kidney
43. Transpyloric plane
44. Manubriosternal angle level structure- arch meets descending aorta
45. Esophagus pierced in cm- 22, 27, 38, 40, 15
46. Aortic opening- t12
47. Fluid- 2l glucose + 1l n.s, 0.18 ns+ 5% dextrose, 3 l n/s , 3l glucose
48. Fluid resuscitation best initially- normal saline.
49. Prostate cancer questions x 2 one with obstructive urinary features, backache- watchful waiting,
surgery, turp, hormonal therapy
50. 2nd prostate question?
51. Consent- less than 16 years old, down syndrome patient , can understand appendicitis procedure
and risks- consent the patient, consent the parents, by proxy, court , proceed without consent
52. Consent- trauma, emergency, intraabdominal bleeding- proceed without consent
53. Consent- 4 years old, requires blood transfusion , hb deteriorating, parents donot consent due to
religious reasons- consent the patient, consent the parents, by proxy, court jury , proceed without
consent
54. Statistics- paired t test, chi square test
55. Fall on outstretched hand, no fracture but carpal tunnel syndrome features- scaphoid dislocation,
lunate dislocation
56. Shinny tense palm skin + fracture hx?- regional pain syndrome, other options doesnt remember
a.
57. Starling forces.. calculate filtration pressure bowmen capsule hydrostatic pressure =33 – outside
hydrostatic pressure 15 – ( bowmans oncotic 10 – outside oncotic 0) = +8
58. Baroreceptor venoconstriction first response
59. PE- t wave inversion v1-v3
60. Sternum fracture, what structure will be damaged.. – RA, RV, esophagus
61. GCS x 2 question.
62. 5% burn on torso full thickness- full thickness graft, split skin, fasciotomy
63. Arm in boiling water, full arm superficial burns, blistering- keep open, occlusive dressing
64. Pt abduction and adduction lost root involved- t1
65. Dupytrens contracture tm- release trigger finger
2
66. Mortons neuroma- neurons fibrosis, synovium
67. Head injury long term feeding reuired- gastrostomy
68. Crohns patient feeding
69. Regional pain syndrome in options
70. Pulp infection block- ring block
71. Radius dislocation heart issues
72. Urine output 80 80 0 0 (hrly)—blocked catheter
73. Mycotic aneurysm- streptococcus, candida, aspergillus
74. Thyroid mass, pulsating mass on forehead- follicular ca
75. Rapidly spreading, stridor- anaplastic
76. Within 3hr presentation – femoral embolectomy
77. Dusky leg
78. Femorodistal bypass done 1 yr back, now distal pulses absent but limb movement present
79. Aortic aneurysm 4.5 cm—ct or us
80. MRSA – patient was mrsa carrier going for surgery tm- oral vanc bd, teicoplanin iv, mupirocin i/n,
rifampicin +
81. Cvp line infection, other patients were mrsa carrier. tm
82. Esophageal ca + mediastinal mets—stent
83. Bone mets pain tm- radio
84. Gastric fundus ca. lymphatics- celiac, paraaortic
85. Pt with abdominal pain, Ca 3.7- Iv fluids or bisphosphonates
86. Ulcer on medial malleolus-
87. Pancoast tumor-t1
88. Neurosurgery bleeding posteriorly- occipital a
89. Cuboid bone anteriorly which bones are present- 4th 5th metatarsals
90. Medial side of leg numb- sephanous n
91. A treatment was started by hospital doctors, but family doctor did not continue with that
treatment.. audt question.
92. Plaster cast leg… CPL
93. Loss of foot eversion + foot dorp- common peroneal component of sciatic nerve
94. Axillary nerve supply deltoid +…. Teres minor
95. On colonoscopy lots of polyps..type?
96. 10 yrs old bloody diarrhea---IBD
97. Colonic resection done, liver mets asymptomatic
98. Paeds age swallowed coin where it stuck.- at t4, cricoid, tyroid prominence
99. Which level of spine compression least likely to cause spastic paralysis?
100. Appendix pain started at paraumblical region….dermatome…. t10
101. Lower lip numb + muscle of mastication not working—mandibular nerve
102. Mandibular nerve foramen---ovale
103. Middle meningeal artery foramen—spinosum
104. Nystagmus, ataxia….PICA?
105. Lower limb paralysis artery territory—aca
106. Head injury gcs 15, then gcs drop and one side blown pupil???—transtentorial herniation,
hydrocephalus,
107. Sympathetics at spinal cord..—lateral horn
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108. Hypercalcemia with renal stone.. Solitary parathyroid adenoma or diffuae parathyroid
hyperplasia?
EMq. acid base: what acid base equation..match with the below scenarios
109. a pt with recurrent gastric pain.. Presented with gatric outlet obstruction .
110. A pt with pyrolus stenosis
111. A pt with malignant came with lethargy vomiting
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142. Recurrent duodenal ulcer ppi used, what will be inc in blood---gastrin
143. Gastric acidity is inc by—vagus+histamine+gastrin
144. Achalasia question??
145. Amylase inc, serum Ca 3.7 --- hyperparathyroidism (sheet fawzia question)
146. Renal transplant few years ago,PO4 is low, Ca2+ is high PTH high---tertiary HyperPTH
147. Wound healing 7th day---angiogenesis
148. Mediastinal masses plus cervical LN biopsy . characteristics—reedsternberg or mitotic cells
149. Polyps hx plus oral lesion (peutz jeghr)..characteristics of polyps...
150. Another q from sheet.. hamartoma characteristics were given..
151. Nodule on extensor surface on elbow.....
152. That was another... hassal corpuscle..thymoma
153. Congenital diphragmatic hernia Neonate dies... embryo... right or left pleuroperitoneal
membrane defect?
154. Muscles of facial expression from which paryngeal arch.....2nd arch
155. Patient car accident... she was wearing seatbelt plus mediastinal widening... aortic disection
156. Parietal pleura nerve supply....intercostals?
157. SA node nerve comes from.....fibers from vagus
158. Breast CA with metastis but general Ms weakness and hypotonia?
159. Hypovolemic shock decreased in extracellular fluid?
160. case post colectomy.. Heel skin necrosis--- conservative mngment?
161. Thyroid ca with invasion to trachea...anaplastic
162. F.B. stuck in child...cricoid
163. A pt alleged hot water splashed over dorsal forearm.. Got blister swollen n sensitive. Wats
the answer? Given option fasciotomy, eschratomy
164. There was a bilirubin question...pale stool dark urine..
165. Fracture sternum..structure injured immediately... That was rt atrium?Rt ventricle
166. Post renal transplant pneumonia- CMV I think???
167. Mycotic aneurysm bacteria?
168. Lymphodema pt with cellulitis after insect bite
169. Single rectal polyp in 35 man...fibroepithelial??
170. Best investigation for diverticular disease with colovesical fistula..CT
171. There was mixed respiratory and metabolic acidosis scenario rt?
172. And one compensated scenerio too. Although ph was 7.38
173. Ca with met.. Vomiting lethargy
174. FEV1/FVC > 80 restrictive picture- options, Pulmonary fibrosis, bronchiectasis, copd, asthma
175. Posterior relations of kidney.. Iliacus not one
176. Pulmonary arteries development ...6th arch
177. Vertebral artery of subclavian
178. Resuscitation question.. 2l of glucose+ 1 L of 0.9 saline or the reverse.. 2saline+ 1glucose?
179. Pneumobila question?? That was doudenum rt? First time to see the term.
180. Bronchial CA in periphery...that was?Adenocarcinoma
181. Charot triad..cholangitis.. Question
182. Skin lesion one answer was dermatofibroma
183. Prophylaxis for spleenectomy?
184. Liver failure 2,7,9,10
5
185. Emergency mini tracheostomy... Thyrocricoid membrane or cricoid membrane
186. One side soft palate n tongue reduced sensation. Which part of brain got compressed-
Medulla or pons?
187. Saccular aneurysm .. What cause it?
188. Hpe shows hyperchromatic nuclei..failed maturation
189. Numbness at chin...mental Nerve?
190. A pt undergone ovarian surgery.. Post op numbness groin n mid thigh
191. Groin mass.. Swelling under big toe bed with deformed toe... Malignant melanoma?
192. Respiratory receptors sensitivity cannot remember the scenario.
193. Extensor pollices Longus rupture question...same Hasnain discussed the night be fore
exam .👏👏
194. Modern sterilization for arthroscope--Ethanol oxide or Glutraldehydes
195. Post cabg.. Sternal wound with some discharge Serosanguinous fluid... options? vanco n
genta, other options?
196. A man with gyneocomastia-phyological or pituitary adenoma
197. A pt with low Na.. No hypotensive...urine ouput >3++ siadh?
198. Traumatic eye with normal xray?
199. Post travel with femoral extensive mobile thrombus?
200. Paratid surgery.. Injured facial nerve
201. One of it was pituitary adenoma
202. Ca 3.7... hyperparathyroid
203. Septic shock.... arrows...
204. Doc for anaphylactic shk
205. Otitis media effusion , deep cervical lymph node.. Cant remember scenalio
206. Best investigation in PE
207. Chrons scenario one was most of small intestine resected,,,,TPN
208. Other emq only 30cm was resected,, elimentry feeding
209. A pt got burn.. Some 3weeks later got ulcer exposing tibia.. Wats the answer?
210. Split thickness?
211. Amount of blood in Aorta per cardiac cycle??70ml
212. I put wound debridement and delayed primary closure
213. What is true about left coronary artery?-- Passes behind pulnonary trunk
214. Siadh with euvolemia.. Wats the answer? Water deprivation??
215. Gunshot passed ant to post lat to right rectus Subcostal margin. --gallbladder
216. Regarding mortons neuroma.-perineural fibrosis, spindle fibers sth fibrosis.. Cant really
remember